Congestive Heart Failure (CHF), Fluid Volume Excess

Description
Congestive Heart Failure (CHF) ... Please Login or Join to access this information
Record Id
232
Code
00232
Downloads
256
References
Luo, N., Fonarow, G. C., Lippmann, S. J., Mi, X., Heidenreich, P. A., Yancy, C. W., Greiner, M. A., Hammill, B. G., Turner, S. J., Butler, J., & Hernandez, A. F. (2019). Early adoption of sacubitril/valsartan for patients with heart failure with reduced ejection fraction: Insights from Get With The Guidelines-Heart Failure (GWTG-HF). Journal of the American College of Cardiology: Heart Failure, 7(4), 321-331. https://doi.org/10.1016/j.jchf.2018.11.005
Antonakoudis, G., Poulimenos, I., Kifnidis, K., Zouras, C., & Antonakoudis, H. (2017). Body mass index, treatment practices, and hospital outcomes in women with acute heart failure syndromes. Heart & Lung: The Journal of Acute and Critical Care, 46(5), 353-359. https://doi.org/10.1016/j.hrtlng.2017.04.002

Outcomes

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Will maintain optimal fluid ... Please Login or Join to access this information
Description: The client will ... Please Login or Join to access this information
Rationale: Maintaining an optimal ... Please Login or Join to access this information
Record Id
242
Downloads
12,565
Evaluate in days
30
Evaluation Date
04/02/2026
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Body weight will remain ... Please Login or Join to access this information
Description: The client's body ... Please Login or Join to access this information
Rationale: Maintaining a normal ... Please Login or Join to access this information
Record Id
243
Downloads
12,565
Evaluate in days
30
Evaluation Date
04/02/2026
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Electrolyte levels will be ... Please Login or Join to access this information
Description: The client's electrolyte ... Please Login or Join to access this information
Rationale: Maintaining electrolyte levels ... Please Login or Join to access this information
Record Id
244
Downloads
12,565
Evaluate in days
30
Evaluation Date
04/02/2026
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Will verbalize less dyspnea ... Please Login or Join to access this information
Description: The client will ... Please Login or Join to access this information
Rationale: The desired nursing ... Please Login or Join to access this information
Record Id
245
Downloads
12,565
Evaluate in days
30
Evaluation Date
04/02/2026
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Will demonstrate adequate knowledge ... Please Login or Join to access this information
Description: The client will ... Please Login or Join to access this information
Rationale: The desired nursing ... Please Login or Join to access this information
Record Id
246
Downloads
12,565
Evaluate in days
30
Evaluation Date
04/02/2026
Outcome References
Meyers, R. S., Stavas, J., Lee, Y. K., Wershil, E., Chitkara, M., Paul, M. E., & Bercovitz, R. S. (2020). Fluid and electrolyte management in children and adolescents: Guideline for Pediatric Intravenous Fluid and Electrolyte Management. Pediatric Nephrology, 35(11), 2057–2072. https://doi.org/10.1007/s00467-020-04572-1.
Mentes, J., & Spangler, D. (2017). Hydration management protocol implementation: improving care of individuals at risk for dehydration. Journal of Gerontological Nursing, 43(8), 9-14. https://doi.org/10.3928/00989134-20170302-03
Wirth, R., Pourhassan, M., Streicher, M., Webel, A. J., & Volkert, D. (2022). Clinical guidelines for weight management in older adults offering methodologies for healthy body mass index maintenance. Advanced Human Nutrition & Metabolism. https://doi.org/10.1007/s12603-018-1109-9
Speakman, J. R., & Mitchell, S. J. (2021). Caloric restriction and healthy body mass index management. Journal of Aging Research, 37(4), 220–234. https://doi.org/10.1093/gerona/glab015
Mizushima, T., Oe, M., Otsuki, K. et al. (2018). Critical electrolyte balance in patients undergoing continuous renal replacement therapy: results of a multi-center, prospective observational study. BMC Nephrology, 19, 264. https://doi.org/10.1186/s12882-018-1049-2
Lim, H. M., Chua, H. R., Teo, Y. C. et al. (2020). Electrolyte Disorders and Aging: Risk Factors for Delirium in Patients Undergoing Orthopedic Surgeries. BMC Psychiatry, 20, 20. https://doi.org/10.1186/s12888-019-2421-0
Donesky, D., Nguyen, HQ., Paul, S., Carrieri-Kohlman, V. (2018). Yoga Therapy Decreases Dyspnea-Related Distress and Improves Functional Performance in People with Chronic Obstructive Pulmonary Disease: A Pilot Study. The Journal of Alternative and Complementary Medicine, 24(3), 300-309. https://doi.org/10.1089/acm.2017.0197
Yorke, J., Russell, A.M., Swigris, J., Shuldham, C., Haigh, C., Rochnia, N., … Jones, P.W. (2017). Assessment of dyspnea in asthma: validation of The Dyspnea-12. The Journal of Asthma, 54(6), 584-592. https://doi.org/10.1080/02770903.2016.1255752
Charalambous, L., Hurst, C., Rankin, D., Lawson, S., Gold, M., & Gillespie, D. (2018). Evidence-based diabetes education for patients with newly diagnosed type 2 diabetes mellitus. British Journal of Community Nursing, 23(7), 324-328.
Korkmaz, M.J., & Özer, S. (2019). The effects of peer education on reduction of the HIV/sexually transmitted infection risk behaviors among Turkish university students. Journal of the Association of Nurses in AIDS Care, 30(3), e56-e64.

Actions

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Keep head of bed ... Please Login or Join to access this information
Description: Involves maintaining the ... Please Login or Join to access this information
Rationale: Elevating the bed ... Please Login or Join to access this information
Record Id
1723
Downloads
20,403
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Weigh client in relation ... Please Login or Join to access this information
Description: Instructs to regularly ... Please Login or Join to access this information
Rationale: Weighing clients regularly ... Please Login or Join to access this information
Record Id
1725
Downloads
20,403
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Assess for symptoms such ... Please Login or Join to access this information
Description: Involves monitoring for ... Please Login or Join to access this information
Rationale: Checking for these ... Please Login or Join to access this information
Record Id
1728
Downloads
20,403
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Check Vital Signs q ... Please Login or Join to access this information
Description: Refers to regularly ... Please Login or Join to access this information
Rationale: Checking vital signs ... Please Login or Join to access this information
Record Id
1729
Downloads
20,403
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Monitor fluid intake, restrict ... Please Login or Join to access this information
Description: Involves tracking the ... Please Login or Join to access this information
Rationale: Monitoring fluid and ... Please Login or Join to access this information
Record Id
1730
Downloads
20,403
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Observe for signs and ... Please Login or Join to access this information
Description: Involves vigilant monitoring ... Please Login or Join to access this information
Rationale: Monitoring for malnutrition ... Please Login or Join to access this information
Record Id
1731
Downloads
20,403
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Check breath sounds and ... Please Login or Join to access this information
Description: Entails the nurse ... Please Login or Join to access this information
Rationale: Checking breath sounds ... Please Login or Join to access this information
Record Id
1722
Downloads
20,403
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Administer Oxygen as ordered ... Please Login or Join to access this information
Description: Involves the application ... Please Login or Join to access this information
Rationale: Administering oxygen as ... Please Login or Join to access this information
Record Id
1724
Downloads
20,403
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Assess for presence of ... Please Login or Join to access this information
Description: Involves evaluating the ... Please Login or Join to access this information
Rationale: Examining for edema ... Please Login or Join to access this information
Record Id
1726
Downloads
20,403
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Monitor Lab work; K+, ... Please Login or Join to access this information
Description: Involves consistently observing ... Please Login or Join to access this information
Rationale: Monitoring lab work ... Please Login or Join to access this information
Record Id
1727
Downloads
20,403
Action References
SJ. Kim, H. Kim, K. Lee & ES. Choi (2021). Effectiveness of Regular Orientation on Cognitive Function and Disorientation in Elderly Hospitalized Patients. Journal of Psychosocial Nursing and Mental Health Services, 59(9), 27-34. https://doi.org/10.3928/02793695-20210728-01
LA. Davis, A. Deane, & R. Caponetto. (2017). Interventions involving repetitive practice improve strength after stroke: a systematic review. Journal of Nursing Scholarship, 49(1), 44-52. https://doi.org/10.1111/jnu.12261
Cordellieri, P., Baralla, F., Ferlazzo, F., Sgalla, R., Piccardi, L., & Giannini, A. M. (2019). Reorientation to reality, environmental manipulation and reality adaptation training in the treatment of confusional states: An evidence-based protocol. Neuropsychological Rehabilitation, 29(2), 295-306. https://doi.org/10.1080/09602011.2017.1301267
Serrani Azcurra, D. J. (2017). A personalized reminiscence therapy with multi-sensorial stimulation to inpatients with major neurocognitive disorder: a controlled study in a geriatric unit. Advances in Psychology and Neuroscience, 2(6), 82-88. http://dx.doi.org/10.22606/apn.2017.26002
Habibzadeh, H., Deldar, K., Pishgooie, A. H., Rahimi, A., & Moghadasian, S. (2019). Effects of training in the quality of care of patients with a nasogastric tube. Journal of education and health promotion, 8.
Robles, L., Serrano, V., & Ros, R. (2020). Patient education in nursing: A study of scientific production in SCOPUS. Enfermería Global, 19(58), 369-388.
O''Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2020). Important care and activity preferences in a nationally representative sample of nursing home residents. Journal of the American Medical Directors Association, 21(1), 85-91. https://doi.org/10.1016/j.jamda.2019.07.004
Burston, S., & Chaboyer, W. (2021). Nursing staff perceptions of the outcomes of consistency in patient assignment. Journal of Nursing Management, 29(4), 888-897. https://doi.org/10.1111/jonm.13259